Revue du rhumatisme (English ed.)
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To describe magnetic resonance imaging findings in idiopathic adhesive capsulitis of the shoulder. ⋯ In difficult cases, magnetic resonance imaging with gadolinium injection can contribute to the diagnosis of idiopathic adhesive capsulitis of the shoulder.
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To identify criteria for predicting the outcome at discharge in patients scheduled for inhospital treatment of disk-related sciatica. ⋯ Eighty percent of patients benefited from their hospital stay. Patient opinions on the merits of nonsurgical and surgical treatments in their own case were not correlated with their own outcomes. A tight straight leg-raising test angle was correlated with a poorer outcome. Neither sciatica duration nor rest duration prior to admission had an influence on outcome. Absence of complete bed rest prior to admission was correlated with a greater likelihood of a therapeutic benefit from the hospital stay.
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Review Comparative Study
Efficacy of epidural steroids in low back pain and sciatica. A critical appraisal by a French Task Force of randomized trials. Critical Analysis Group of the French Society for Rheumatology.
Several randomized trials have suggested recently that epidural steroid injections may not be a valid treatment in common low back pain and sciatica. To clarify this issue, we conducted a critical appraisal of relevant randomized trials published up to 1997. Attention was directed to methodological quality, results, and clinical implications. ⋯ Whether epidural steroids are effective in common low back pain and sciatica cannot be determined based on our review.
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Clay-shoveler's fracture is a fatigue fracture of a lower cervical or upper thoracic spinous process. This occupational injury occurs primarily in workers who shovel heavy loads for long periods of time. ⋯ A review of clay-shoveler's fracture is presented. Emphasis is put on the legal aspects that can raise problems for rheumatologists, radiologists, occupational physicians and physicians performing expert evaluations of patients filing compensation claims.